With reflux gastritis, an inflammatory process occurs in the tissues of the gastric mucosa, and the contents of the duodenum, different in acidity, enter the stomach and begin to irritate it. This condition is called reflux, and the inflammatory process that occurs in the stomach is gastritis.
The disease is of two types: duodenal and biliary( bile) reflux gastritis. It depends on where the ejection comes from.
Biliary reflux-gastritis occurs due to disorders in the bile excretory system and poor performance of sphincters. As a result, the sequential operation of the bile ducts and intestines, and then the stomach and ducts of the pancreas, is lost. With such a disease, bile enters the stomach. In normal body work, it must go into the duodenum.
Causes of bile reflux-gastritis
Causes of ailment - stagnation in the duodenum, a weak contraction of the pylorus, a change in the movement of the muscles of the stomach and intestine. Common reasons also include:
- nervous and physical overexertion;
- various surgical operations on the organs of the digestive tract;
- chronic diseases: pancreatitis, cholecystitis, duodenitis and hepatitis.
Gastritis with reflux of bile: symptoms of
This ailment can occur without symptoms or with poorly expressed symptoms. For a long time a person may not know about the presence of this disease. Meanwhile, a change in acidity leads to the degeneration of cells in the stomach, which can later degenerate into atypical ones. Symptoms of bile reflux-gastritis:
- general weakness;
- weight loss;
- loss of appetite;
- aching dull ache in the epigastric region
- heaviness in the stomach;
- belching bitter;
- constipation, which is followed by diarrhea;
- sores in the corners of the mouth and "jam";
- anemia;
- dry skin.
In order to diagnose gallstrel reflux gastritis, it is necessary to conduct such studies:
- PHAGDS.
- ultrasound of the hepatobiliary zone.
- Determination of the daily acidity of the stomach.
- Fibrogastroscopy. With her, you can take the cellular material of the gastric mucosa to a biopsy.
Treatment of bile reflux-gastritis
Therapy should be comprehensive. Include both the intake of medicines and diet food. With bile reflux gastritis, the main medicine is Ursosan( Ursofalk).The course of treatment is from 10 to 14 days. Also appoint and domperidone. The rest of the treatment is carried out according to the indications. To do this, apply:
- Drugs that reduce the acidity of the stomach, and create a protective layer on its surface.
- Drugs that neutralize bile.
- Medications that improve the peristalsis of the stomach and intestines.
- With increased acidity prescribe drugs that reduce the synthesis of hydrochloric acid.
Diet
If the principles of dietary nutrition are not followed, the medication will not bring the desired result:
- Eliminate the use of foods that contribute to irritation of the stomach and intestines: smoked, salted, fried, spicy dishes, sodas, coffee and chocolate.
- Maintain an active and healthy lifestyle.
- The food should be small portions, fractional.
- The basis of the ration - mashed soups, porridges, only boiled meat and fish, jelly, cottage cheese, vegetables and fruits are also welcomed.
- Treatment with folk remedies is used: syrup from dandelions, juices of raw potatoes and celery, infusion of chamomile.
If you suspect a gastritis with reflux of bile, consult a gastroenterologist for advice.